| NPI | 1871924969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE M MOORE Nurse Practitioner 405-341-4643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: OK R0053173) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: MO 2013042559) |
| Enumeration Date | 2013-11-27 |
| Last Update Date | 2013-11-27 |